Method and system for supplying portable gas cylinders

ABSTRACT

A method of supplying a portable medical gas system is provided. The disclosed method includes preparing a portable medical gas system, the portable medical gas system including a cylinder adapted to be filled with medical gas and a gas dispensing valve. The portable medical gas system is place in a specialized container having a configuration adapted to hold the portable medical gas system only when the cylinder of portable medical gas system is unused state or empty state. The portable medical gas system is delivered to the customer, and returned as an empty cylinder via commercial carrier. Upon receipt of the empty or spent portable medical gas system, another portable medical gas system filled with medical gas is sent to the customer. In one embodiment, the portable medical gas system includes a single-use flow control valve which ensures the cylinder is empty after its initial use.

CROSS REFERENCE TO RELATED APPLICATIONS

This application is a reissue application of U.S. Pat. No. 8,002,514 B2,which claims priority to U.S. patent application Ser. No. 60/854,044filed Oct. 24, 2006,the disclosure disclosures of which is areincorporated by reference herein.

FIELD OF THE INVENTION

The present invention generally relates to a method of supplyingportable gas cylinders such as medical oxygen cylinders, and moreparticularly, to a method and system for supplying full portable gascylinders to customers and accepting return of empty portable gascylinders via commercial carrier.

BACKGROUND OF THE INVENTION

Medical gas suppliers typically have a dedicated distribution channeldesigned to handle the portable medical gas cylinders routinely shippedto and from its customers. Given the economics of the gas cylinderproduct sales and infrastructure required to support the current gascylinder distribution model, the radius of distribution is often limitedto customers within about 60 miles from each distribution center. Toexpand the existing proprietary distribution networks and the number ofdistribution centers to effectively cover the entire United States andCanada to meet the medical oxygen needs of the public sector wouldlikely be cost prohibitive.

What is needed therefore is an alternate and cost-effective distributionchannel for cylinder-based, medical gas products.

SUMMARY OF THE INVENTION

In one aspect, the present invention may be characterized as a method ofsupplying medical gas to a customer comprising the steps of: (i)delivering a portable medical gas system, the portable medical gassystem including a gas cylinder filled with medical gas, a flow controlvalve operatively disposed on the cylinder, a cylinder contents gaugewithin a container, and wherein the flow control valve includes one ormore settings adapted to empty the medical gas from the cylinder; (ii)emptying the medical gas from the cylinder; (iii) packing the empty gascylinder in the container; (iv) verifying the gas cylinder is emptythrough visual inspection of the cylinder contents gauge or the flowcontrol valve setting; (v) return shipping the container having an emptycylinder disposed therein from the customer to a designated receiver viacommercial carrier; and (vi) delivering a replacement portable medicalgas system including a cylinder filled with a medical gas to thecustomer.

In another aspect, the present invention may be characterized as abusiness method of supplying medical gas to a customer comprising thesteps of: (i) delivering a portable medical gas system, the portablemedical gas system including a cylinder filled with medical gas, a flowcontrol valve operatively disposed on the cylinder, a cylinder contentsgauge within a container, and wherein the flow control valve includes asetting adapted to empty the medical gas from the cylinder; (ii)receiving notification from the customer that the portable medical gassystem requires replacement; (iii) arranging for return shipment of theportable medical gas system having an empty cylinder via commercialcarrier; and (iv) delivering a second portable medical gas system filledto the customer.

In yet another aspect, the invention may also be characterized as abusiness method of supplying medical gas to a customer comprising thesteps of: (i) delivering a portable medical gas system, the portablemedical gas system including a cylinder filled with medical gas, a flowcontrol valve operatively disposed on the cylinder, a cylinder contentsgauge within a shipping container, and wherein the flow control valveincludes a setting adapted to empty the medical gas from the cylinder;(ii) providing instructions to the customer for return shipment of theportable medical gas system via commercial carrier, such instructionsincluding advising the customer to ensure the flow control valve ispositioned at the setting adapted to empty the medical gas from thecylinder; and (iii) delivering a replacement portable medical gas systemincluding a cylinder filled with a medical gas to the customer uponreturn shipment of the portable medical gas system or upon notificationthat the customer requires a replacement portable medical gas system.

BRIEF DESCRIPTION OF THE DRAWINGS

For a more complete understanding of the present invention and theadvantages thereof, reference is made to the following detaileddescription taken in conjunction with the accompanying drawings inwhich:

FIG. 1 illustrates a perspective view of the emergency medical gassystem with a single-use flow control valve;

FIG. 2 illustrates another view of the emergency medical gas system withthe single use flow control valve and control knob;

FIG. 3 illustrates a view of the emergency medical gas system with thesingle use flow control valve, control knob and protective shroud;

FIG. 4 illustrates a view of the portable medical gas system shippingcontainer for use with the present emergency medical gas cylinder;

FIG. 5 illustrates another view of the portable medical gas systemshipping container and an empty medical gas cylinder disposed therein;and

FIGS. 6A through 6D illustrate an embodiment of an emergency medical gassystem with a regulated flow control valve and control knob shown in an‘OFF’ position, an ‘ON’ position, a flow regulated ‘7.0’ position and a‘SHIP’ position, respectively.

DETAILED DESCRIPTION

From a delivery and distribution standpoint, a gas cylinder with lessthan 40 psig of oxygen is not considered a hazardous material whereas aoxygen cylinder with a pressure of 40 psig or greater must bedocumented, packaged, handled, and shipped as a hazardous material. Manymedical gas suppliers are fully capable of handling, packaging andshipping filled gas cylinders as a properly documented hazardousmaterial, whether by its own distribution network or via commercialcarriers.

On the other hand, empty portable medical gas systems are not consideredhazardous materials and can be readily shipped via commercial carrier orcommercial delivery services by the customer. However, utilization ofcommercial delivery services would be available only if the supplier wasable to assure or guarantee the carriers that the gas cylinders packagedand return shipped by customers are empty or otherwise have less than 40psig in the cylinder.

There are various means to assure that returned medical gas cylindersare empty or otherwise have a pressure of less than 40 psig in thecylinder. One preferred method, shown and described in FIGS. 1 through3, provide a portable medical gas system that includes an integratedpressure regulator and flow control valve designed to allow the user to“open” the unit and dispense the medical gas but would prevent the userfrom closing the unit. Upon its initial use, the oxygen or other medicalgas within the cylinder would continuously flow out of the gas cylinderuntil the gas cylinder reaches a sufficiently low pressure (e.g.atmospheric pressure). When empty, the pressure in the gas cylinder isbelow 40 psig and the cylinder can be returned as a non-hazardousmaterial via commercial carrier. As described below, this “single-use”type flow control valve or dispensing valve is most useful for portableemergency oxygen systems and applications.

Referring now to the drawings, and in particular FIG. 1 and FIG. 2,there is shown an embodiment of the emergency medical gas system 10 foruse with the present invention. The specific embodiment illustrated isdesigned to dispense therapeutic respiratory gas such as oxygen ormixtures of gas that might include oxygen with helium, nitrogen, carbondioxide, nitrous oxide, nitric oxide, etc. Thus, the specific embodimentis not to be taken as limiting in that the present invention is equallyapplicable to other gas dispensing applications that require the use ofcompressed gas cylinders and the dispensing of the gas at a regulatedpressure.

The emergency medical gas system 10 includes a gas cylinder 12 having abody portion 14 and a neck portion 16. Attached to the neck portion 16of the cylinder is the gas cylinder flow control valve 20. Gas cylinderflow control valve 20 is conventionally fabricated from forged brasswhereas control knob 30 is preferably fabricated from impact resistantplastic. The gas cylinder is preferably a small 3¼ inch diameteraluminum cylinder that can dispense approximately 160 liters of oxygenat 50 psig. The entire portable medical gas system is about 18 inchestall, 3¼ inches in diameter and weighs approximately 3 lbs.

Gas cylinder flow control valve 20 is provided with an upper section 22having a gas outlet 24 to discharge the gas to be dispensed. Asillustrated, gas outlet 24 is in the form of a nipple-like fittingdesigned to couple with a hose for dispensing the oxygen to a patientfor therapeutic purposes. The gas cylinder flow control valve 20 alsoincludes a lower section 26 that is configured to couple with the neckportion 16 of a compressed gas cylinder 12 by way of threads (notshown).

The flow rate of the medical gas from the gas cylinder is controlled bythe single-use gas cylinder flow control valve 20, which is activated bycontrol knob 30. Control knob 30 is connected to a control shaft 38 thatis operatively engaged with the gas cylinder flow control valve 20.Rotation of control knob 30 in a first direction initiates the flow ofthe medical gas a specified flow rate by turning control shaft 38 whichopens the internal flow path within the gas cylinder flow control valve20. Once the gas cylinder flow control valve 20 is activated, highpressure gas from the gas cylinder 12 passes through an internal flowpath having passages within lower section 26 and upper section 22 to thegas outlet 24. The compressed gas enters such internal flow path througha gas inlet 28 provided in lower section 26 of and is discharged afterhaving been regulated through gas outlet 24. The actual means forpressure regulation of the medical gas is a conventional pressureregulator 34 that is designed to reduce the gas pressure to a levelsuitable for patient use, for instance, 50psig. The pressure regulator34 can also be said to divide the internal flow path for the gas intohigh and low pressure sides. A gauge 32 is also provided along theinternal flow path on the high pressure side to measure the pressure ofthe medical gas in order to determine whether the compressed gascylinder 12 is full, partially full or empty.

The illustrated gas cylinder flow control valve 20 is a ‘single-use’valve. That is to say, once activated or opened by rotating the controlknob 30 in a first direction, the pressurized gas continuously flowsfrom the gas cylinder 12 through the gas cylinder flow control valve 20to the outlet 24 until the gas cylinder 12 is empty. The gas cylinderflow control valve 20 cannot be closed by the user and the control knob30 cannot be rotated in an opposite direction by the user.

In the illustrated embodiments, rotation of control knob 30 and thus thecontrol shaft 38 is controlled by a lock collar 40 attached to flowcontrol valve 20 proximate the control shaft 38 and correspondingprojections (not shown) disposed on the underside of the control knob 30that are aligned with the lock collar 40. Rotation of the control knob30 in the first direction moves the projections on the underside of thecontrol knob 30 on the rotational path along various ramp surfaces 42 onthe lock collar 40. However, rotation of the control knob 30 in theopposite direction (clockwise) is prevented by a plurality of retainingabutments or surfaces 44 that engage the projections on the underside ofthe control knob 30 and prevent the control knob 30 from being rotatedin that opposite direction and thus prevents control shaft 38 fromclosing the gas cylinder flow control valve 20.

The embodiment of the portable medical gas system shown in FIG. 3, has aprotective shroud 50 disposed over the gas cylinder flow control valve20. The protective shroud 50 includes various handles for carrying ormanipulating portable gas cylinders 12 and gas cylinder flow controlvalves 20 for the administration of medical oxygen. The shroud 50provides improved safety and versatility to the handling process of suchcylinders and valves. The shroud 50 includes upper handle 52 and lowerhandle 54. Upper handle 52 can be formed in an inverted J-likeconfiguration and provides a method for easily lifting the gas cylinder12, the gas cylinder flow control valve 20, and shroud 50. Lower handle54 is formed within the bottom portion of the composite body 56 of theshroud 50. As shown in FIG. 3, lower handle 54 includes lip portion 58to allow the user to manipulate the shroud 50, flow control valve 20 andgas cylinder 12 by grabbing the shroud 50 in an underhand fashion or byplacing one or more fingers under the lip portion 58 near the lowerportion 26 of the flow control valve 20. In this manner, the portablemedical gas system comprising the shroud 50, flow control valve 20, andgas cylinder 12 can be manipulated by using upper handle 52, the lowerhandle 54 or both the upper handle 52 and lower handle 54.

The shroud 50 is preferably configured to be part of the portablemedical gas system and used in combination with a gas cylinder 12 and agas cylinder flow control valve 20. The shroud 50 may initially beformed in a plurality of component plastic parts, which are assembled orjoined together around the flow control valve 20 on top of the gascylinder 12. The various components of the shroud 50 are preferably heldtogether with a plurality of screws or other means for fixedly attachingthe component plastic parts. In the illustrated embodiment, the shroud50 may be formed of plastic, for example a LEXAN® plastic such asEXL1414 plastic commercially available from General Electric.

The shroud 50 is a custom fitted structure that includes a plurality ofports on the outside surface 57 of the shroud body 56 to accommodate thecontrol knob 30, the gas outlet 24, and the gauge 32 which are eitherexposed via the ports or protrude through the shroud body 56 via theports.

Turning now to FIG. 4 and FIG. 5, there is illustrated a shippingcontainer adapted for use with the present emergency medical gas system.As seen therein, the emergency medical gas system 10 is preferablyshipped in a container 80 designed specifically to carry the portablegas cylinder and associated system. The container 80 preferably includesa two-part hinged body portion 82, a handle portion 84, a transparentsurface, port or window 86 and a latch mechanism 88 used for opening thecontainer 80 and securing the container 80 closed.

The body portion 82 of the shipping container 80 includes a compartmentspace 90 adapted to precisely receive the portable medical gas system 10in an unused mode or in an empty mode. In various contemplatedembodiments, the configuration of the emergency medical gas system 10when pressurized in an ‘ON’ position, preferably would not fit into thecompartment space 90 as a result of some projection, extension or otherelement protruding outwardly from a portion of the portable medical gassystem 10.

When the emergency medical gas system 10 is properly placed in thecontainer 80, the transparent surface or window 86 of the container 80is adapted to align with the pressure gauge 32 of the portable medicaloxygen system 10. This alignment allows the gas supplier, distributor,customer and/or commercial carrier to visually identify whether the gascylinder is empty or full. This visual indication would allow thecommercial carrier or other person to decide at the point of cylinderpick-up whether shipment is authorized and whether the material is aproperly documented hazardous material or a non-hazardous empty gascylinder.

Although not shown, additional oxygen tubing and mask may be separatelyincluded in the shipping container 80 or packaged separately. In anemergency situation, the customer would access an emergency kit, openthe container 80, remove the portable medical gas system 10 and any maskand tubing, turn on the system or unit, couple the tubing and mask tothe unit, verify flow of oxygen at the mask and apply the mask to thepatient. After use, the customer would contact the gas supplier forre-supply or replacement of the empty system or unit and is provideddetailed instructions on how to return the empty system or unit viacommercial carrier. Upon receipt of a replacement portable medical gassystem 10, the customer can replenish the emergency kit and re-pack theoxygen tubing and mask with the system for future use.

Turning now to FIGS. 6A through 6D, an alternate embodiment of thepresent system would include a portable medical gas system with astandard or multi-use, flow regulated, gas flow control or dispensingvalve that has an auxiliary or shipment setting adapted for returnshipment of the empty cylinder. In such embodiment, when the controlknob and flow control valve are set to the return shipment setting or‘SHIP’ position, the flow control valve would open and the medical gaswithin the cylinder would be released and vented to the atmosphere.

FIGS. 6A through 6D provide a partial view of an embodiment of a medicalgas cylinder 100 that provides a fully regulated or fully controllablegas flow employing the ‘SHIP’ mode concept. As seen therein, the medicalgas cylinder system 100 includes a dispensing mechanism that houses aflow control valve 120, a control knob 124 and a cylinder contents gauge130 within a shroud 140 having an integrated handle 142. FIG. 6A depictsthe control knob 124 and flow control valve 120 in an ‘OFF’ positionwhere no flow of gas from the cylinder is occurring. FIG. 6B depicts thecontrol knob 124 and flow control valve 120 in an ‘ON’ position wheresome prescribed flow of gas from the cylinder to the outlet 128 isoccurring. Alternatively, as depicted in FIG. 6C, the control knob 124and flow control valve 120 are set in a regulated flow positionindicated by a numeric value (e.g. ‘7.0’) representing the controlledgas flow from the cylinder in liters per minute. Such regulated versionwould likely have additional flow settings to allow a greater or lessgas flow from the cylinder to the gas outlet 128 and eventually to thepatient. Finally, FIG. 6D depicts the control knob 124 and flow controlvalve 120 in an ‘SHIP’ position where the flow control valve 120 isfixed in an open position and the medical gas from the cylinder isevacuated to permit shipment of the empty cylinder by commercialcarrier. The shipping container used with the embodiment of FIGS. 6Athrough 6D would also allow for visual inspection of the position of thecontrol knob 124 and flow control valve 120 as well as the cylindercontents gauge 130 through a window or other transparent surface.

In a ‘single-use’ emergency medical gas application, the embodimentsshown in FIGS. 6A through 6D would allow the user to move between the‘OFF’ position and an ‘ON’ position or regulated ‘e.g. 7.0’ position toinitiate the gas flow, but would not allow the user to return thecontrol knob 124 or flow control valve 120 to the ‘OFF’ position.Similarly, in a fully controllable medical gas application theembodiments shown in FIGS. 6A through 6D would allow the user to movethe control knob 124 and flow control valve 120 between the ‘OFF’position and an ‘ON’ position or regulated ‘e.g. 7.0’ position toinitiate the gas flow and would also allow the user to return thecontrol knob 124 to the ‘OFF’ position. When the unit is to be returned,the user would move the control knob 124 and flow control valve 120 tothe ‘SHIP’ position to empty the gas from the cylinder. However, once inthe ‘SHIP’ position, the control knob 124 and flow control valve 120would be locked in that position.

As suggested above, a further contemplated embodiment of the presentsystem alters the physical configuration of the gas cylinder to fitwithin the shipping container when the gas cylinder system is placed inthe ‘SHIP’ mode. Likewise, the configuration of the medical gas systemin an unused condition (as shipped by the medical gas supplier) wouldalso fit within the shipping container. However, when the control knobor gas dispensing valve is positioned in any other regulated flowposition, the configuration of the medical gas system would not fitwithin the shipping container and the shipping container would notclose. In this manner, the customer could not inadvertently return shipa filled or highly pressurized used gas cylinder using the approvedshipping container.

In this alternate embodiment, the changing shape or configuration of theemergency medical gas cylinder and system can be integrated into thecontrol knob associated with the cylinder gas dispensing valve.Alternatively, the changing shape or configuration of the emergencymedical gas cylinder and system may be a separate protruding elementthat is actuated upon removal of the cylinder from the container or uponinitial use of the emergency medical gas system and such protrudingelement can only be retracted when the gas cylinder has been emptiedand/or set on return ship mode. In this manner, the emergency medicalgas cylinder would only fit into the shipping container when theprotruding element is in the retracted position or the control knob isset to the proper position, which would assure the commercial carrierthat the medical gas cylinder is empty.

It is well known that most business and households can be serviced bycommercial package delivery services such as United Parcel Service (UPS)or Federal Express (FedEx). In addition, the weight and sizecharacteristics of a typical emergency oxygen system and many of theportable medical gas systems are within the package limits set by thesecommercial delivery services. Thus, use of commercial carriers would bevery economical and very useful if the practical and regulatory barriersto use of such commercial delivery services can be addressed.

As indicated above, when delivered as a filled, pressurized cylinderwith a medical gas such as oxygen, the current portable medical gassystem is still considered a hazardous material and needs to bepackaged, handled and labeled as such. However, when delivered orshipped in an empty state, the empty portable medical gas system is notconsidered a hazardous material and can be readily shipped ortransported via commercial carrier or commercial delivery services.

Using the ‘single-use’ flow control valve embodiment described above orthe alternate embodiments described herein, the medical gas supplierwould be able to assure or guarantee the commercial carriers that theused emergency medical gas systems packaged and return shipped bycustomers are empty or otherwise have gas at less than 40 psig in thecylinder. From a practical standpoint, this fundamentally changes themethod of shipment and the overall method of distribution for medicalgas cylinders. By using commercial carriers for cylinder delivery andpick-up without the risk of filled cylinders being inadvertently returnshipped by customers, various distribution methods and marketingstrategies are enabled.

For example, a like-for-like medical gas cylinder exchange program canbe employed wherein medical gas cylinders are distributed to customersfor use with instructions for return shipment of the empty cylinder.After use by the customer, the empty cylinders are return shipped viacommercial carrier to a designated return location and a replacementcylinder filled with medical oxygen or other gas is subsequentlyreturned to the customer also via commercial carrier. In addition,medical gas suppliers can also offer a pre-paid return shipment viacommercial carriers for empty medical gas cylinders. Billing or chargingmethods may include pre-pay arrangements or automatic charging upon theoccurrence of a designated event such as upon delivery of a unit,delivery of the replacement unit, receipt of the unit by a designatedreceiver, or even mere notification of the need for a replacement unitby the customer. Such notification, of course can occur via telephone,email or internet based communications.

The use of commercial carriers to deliver or return medical gascylinders provides a significantly lower distribution cost when comparedto the proprietary truck delivery and pick-up service presently offeredby most medical gas suppliers. In addition, the constraints associatedwith the limited distribution radius of proprietary distributionnetworks, the accessibility to all customers including remotely situatedcustomers, and inventory concerns with co-mingling of hazardousmaterials (i.e. filled cylinders) and non-hazardous materials (i.e.empty cylinders) can be minimized or eliminated. This results in moretimely and cost effective distribution and return of portable medicalgas systems.

Two intended applications of the present method of distributing medicalgas cylinders include distribution and return of emergency medicaloxygen as well as possible distribution of individual medical oxygencylinders to doctors, dentists and homecare patients. The use of medicaloxygen without a prescription is permitted during an emergency such as aheart attack or similar such ailment. Health research indicates amajority of patients with heart ailments would benefit from theapplication of supplemental oxygen during their episode. The automatedexternal defibrillator (AED) manufactures have successfully introducedproducts into the public market to treat a portion of these patients andthere is a perceived need to assist with the treatment of heart ailmentsin this market with supplemental emergency oxygen system as well. Thesingle-use flow control valve configuration of the emergency medical gassystem is ideally suited to meet this need.

Doctors, dentists and home care patients that utilize emergency medicaloxygen cylinders typically require the flow of oxygen be fully metered,and shut-off when not needed or turned on again when needed.Accordingly, a multi-use gas cylinder dispensing valve configuration ofthe emergency medical gas system can be offered to these potentialcustomers. Such emergency medical gas systems can be returned viacommercial carrier only when the gas cylinder is empty. The commercialshipment model is equally applicable to other portable medical gassystems such as prescription based medical gas applications, such asmedical oxygen home care applications. By commercially offering suchmedical gas cylinders to be shipped to most any customer, at anylocation and returned empty via commercial carriers, the newdistribution model can reach many more customers and potentialcustomers, including those customers in remote locations and in a morecost effective manner that what is available under the existingproprietary distribution systems.

While the present invention has been described with reference to severalpreferred embodiments, as may occur to those skilled in the art,numerous changes, additions and omissions may be made without departingfrom the spirit and scope of the present invention, as set forth in theclaims.

What is claimed is:
 1. A method of supplying medical gas to a customercomprising the steps of: delivering a portable medical gas system, theportable medical gas system including a gas cylinder filled with medicalgas, a flow control valve operatively disposed on the cylinder, acylinder contents gauge within a container, and wherein the flow controlvalve includes one or more settings adapted to empty the medical gasfrom the cylinder; emptying the medical gas from the cylinder; packingthe empty gas cylinder in the container; verifying the gas cylinder isempty through visual inspection of the cylinder contents gauge or theflow control valve setting; return shipping the container having anempty cylinder disposed therein from the customer to a designatedreceiver via commercial carrier; and delivering a replacement portablemedical gas system including a cylinder filled with a medical gas to thecustomer.
 2. The method of claim 1 further comprising the step ofproviding instructions to the customer for return shipment of theportable medical gas system via commercial carrier, such instructionsincluding advising the customer to ensure the flow control valve ispositioned in a setting adapted to empty the medical gas from the gascylinder.
 3. The method of claim 1 further comprising the step ofnotifying a gas supplier that the portable medical gas system has beenused or requires replacement and the step of delivering the replacementportable medical gas system including a cylinder filled with a medicalgas to the customer occurs after said step of notification.
 4. Themethod of claim 3 further comprising the step of charging the customerupon delivery of the portable medical gas system, delivery of thereplacement portable medical gas system, receipt of the portable medicalgas system by the designated receiver, or notification to the gassupplier.
 5. The method of claim 1 wherein the container comprises oneor more transparent surfaces adapted to allow visual inspection of thecylinder contents gauge or the flow control valve setting when thecylinder is placed within the container.
 6. The method of claim 1wherein the flow control valve is a single-use valve wherein uponactuation of the flow control valve, the medical gas within the gascylinder flows continuously from the gas cylinder until the gas cylinderis empty.
 7. The method of claim 1 wherein the flow control valve has asetting for ‘SHIP’ mode wherein upon placement of the flow control valvein the ‘SHIP’ mode, the medical gas within the gas cylinder flowscontinuously from the gas cylinder until the gas cylinder is empty.
 8. Amethod of supplying medical gas to a customer comprising the steps of:delivering a portable medical gas system, the portable medical gassystem including a cylinder filled with medical gas, a flow controlvalve operatively disposed on the cylinder, a cylinder contents gaugewithin a container, and wherein the flow control valve includes asetting adapted to empty the medical gas from the cylinder; receivingnotification from the customer that the portable medical gas systemrequires replacement; arranging for return shipment of the portablemedical gas system having an empty cylinder via commercial carrier; anddelivering a second portable medical gas system filled to the customer.9. The method of claim 8 further comprising the step of providinginstructions to the customer for return shipment of the portable medicalgas system via commercial carrier, such instructions including advisingthe customer to ensure the flow control valve is positioned in a settingadapted to empty the medical gas from the gas cylinder.
 10. The methodof claim 8 wherein the step of receiving notification from the customerthat the portable medical gas system requires replacement furthercomprises receiving notification via telephone, email or internetcommunications.
 11. The method of claim 8 wherein the containercomprises one or more transparent surfaces adapted to allow visualinspection of the cylinder contents gauge or the flow control valvesetting when the cylinder is disposed within the container.
 12. Themethod of claim 8 wherein the flow control valve is a single-use valvewherein upon actuation of the flow control valve, the medical gas withinthe gas cylinder flows continuously from the gas cylinder until the gascylinder is empty.
 13. The method of claim 8 wherein the flow controlvalve has a setting for ‘SHIP’ mode wherein upon placement of the flowcontrol valve in the ‘SHIP’ mode, the medical gas within the gascylinder flows continuously from the gas cylinder until the gas cylinderis empty.
 14. The method of claim 8 further comprising the step ofcharging the customer upon delivery of the portable medical gas system,delivery of the second portable medical gas system, or receipt ofnotification from the customer that the portable medical gas systemrequires replacement.
 15. A method of supplying medical gas to acustomer comprising the steps of: delivering a portable medical gassystem, the portable medical gas system including a cylinder filled withmedical gas, a flow control valve operatively disposed on the cylinder,a cylinder contents gauge within a shipping container, and wherein theflow control valve includes a setting adapted to empty the medical gasfrom the cylinder; providing instructions to the customer for returnshipment of the portable medical gas system via commercial carrier, suchinstructions including advising the customer to ensure the flow controlvalve is positioned at the setting adapted to empty the medical gas fromthe cylinder; and delivering a replacement portable medical gas systemincluding a cylinder filled with a medical gas to the customer uponreturn shipment of the portable medical gas system or upon notificationthat the customer requires a replacement portable medical gas system.16. A method of supplying gas to a customer comprising the steps of:delivering a portable gas system, wherein the portable gas systemincludes a container containing a gas cylinder filled with gas, a flowcontrol valve operatively disposed on the gas cylinder, and a cylindercontents gauge, and wherein the flow control valve includes one or moresettings adapted to empty the gas from the gas cylinder; emptying thegas from the gas cylinder; packing the empty gas cylinder in thecontainer; verifying the gas cylinder is empty through visual inspectionof the gas cylinder contents gauge or the flow control valve setting;return shipping the container having the empty gas cylinder disposedtherein from the customer to a designated receiver via a commercialcarrier; and delivering a replacement portable gas system including areplacement gas cylinder filled with the gas to the customer.
 17. Themethod of claim 16 further comprising the step of providing instructionsto the customer for return shipment of the portable gas system via thecommercial carrier, such instructions including advising the customer toensure the flow control valve is positioned in a setting adapted toempty the gas from the gas cylinder.
 18. The method of claim 16 furthercomprising the step of notifying a gas supplier that the portable gassystem has been used or requires replacement and the step of deliveringthe replacement portable gas system including the replacement gascylinder filled with the gas to the customer occurs after said step ofnotification.
 19. The method of claim 18 further comprising the step ofcharging the customer upon delivery of the portable gas system, deliveryof the replacement portable gas system, receipt of the portable gassystem by the designated receiver, or notification to the gas supplier.20. The method of claim 16 wherein the container comprises one or moretransparent surfaces adapted to allow visual inspection of the gascylinder contents gauge or the flow control valve setting when the gascylinder is placed within the container.
 21. The method of claim 16wherein the flow control valve is a single-use valve wherein uponactuation of the flow control valve, the gas within the gas cylinderflows continuously from the gas cylinder until the gas cylinder isempty.
 22. The method of claim 16 wherein the flow control valve has asetting for ‘SHIP’ mode wherein upon placement of the flow control valvein the ‘SHIP’ mode, the gas within the gas cylinder flows continuouslyfrom the gas cylinder until the gas cylinder is empty.
 23. A method ofsupplying gas to a customer comprising the steps of: delivering aportable gas system, wherein the portable gas system includes acontainer containing a cylinder filled with gas, a flow control valveoperatively disposed on the cylinder, and a cylinder contents gauge, andwherein the flow control valve includes a setting adapted to empty thegas from the cylinder; receiving notification from the customer that theportable gas system requires replacement; arranging for return shipmentof the portable gas system having an empty cylinder via a commercialcarrier; and delivering a second portable gas system filled to thecustomer.
 24. The method of claim 23 further comprising the step ofproviding instructions to the customer for return shipment of theportable gas system via the commercial carrier, such instructionsincluding advising the customer to ensure the flow control valve ispositioned in a setting adapted to empty the gas from the cylinder. 25.The method of claim 23 wherein the step of receiving notification fromthe customer that the portable gas system requires replacement furthercomprises receiving notification via telephone, email or internetcommunications.
 26. The method of claim 23 wherein the containercomprises one or more transparent surfaces adapted to allow visualinspection of the cylinder contents gauge or the flow control valvesetting when the cylinder is disposed within the container.
 27. Themethod of claim 23 wherein the flow control valve is a single-use valvewherein upon actuation of the flow control valve, the gas within thecylinder flows continuously from the cylinder until the cylinder isempty.
 28. The method of claim 23 wherein the flow control valve has asetting for ‘SHIP’ mode wherein upon placement of the flow control valvein the ‘SHIP’ mode, the gas within the cylinder flows continuously fromthe cylinder until the cylinder is empty.
 29. The method of claim 23further comprising the step of charging the customer upon delivery ofthe portable gas system, delivery of the second portable gas system, orreceipt of notification from the customer that the portable gas systemrequires replacement.
 30. A method of supplying gas to a customercomprising the steps of: delivering a portable gas system, wherein theportable gas system includes a shipping container containing a cylinderfilled with gas, a flow control valve operatively disposed on thecylinder, and a cylinder contents gauge, and wherein the flow controlvalve includes a setting adapted to empty the gas from the cylinder;providing instructions to the customer for return shipment of theportable gas system via commercial carrier, such instructions includingadvising the customer to ensure the flow control valve is positioned atthe setting adapted to empty the gas from the cylinder; and delivering areplacement portable gas system including a replacement cylinder filledwith gas to the customer upon return shipment of the portable gas systemor upon notification that the customer requires the replacement portablegas system.
 31. A method of supplying gas to a customer comprising thesteps of: delivering a portable gas system, wherein the portable gassystem includes a container containing a gas cylinder filled with gas, aflow control valve operatively disposed on the gas cylinder, and acylinder contents gauge, and wherein the flow control valve includes oneor more settings adapted to establish a pressure within the gas cylinderassociated with a return shipment of the gas cylinder via a commercialcarrier, the established pressure exceeding atmospheric pressure; andproviding instructions for the return shipment of the container havingthe gas cylinder disposed therein to a designated receiver via thecommercial carrier.
 32. The method of claim 31, wherein providinginstructions includes including the instructions for return shipment inthe portable gas system.
 33. The method of claim 31, further comprisingemptying the gas from the gas cylinder.
 34. The method of claim 33,further comprising packing the empty gas cylinder in the container. 35.The method of claim 33, further comprising verifying the gas cylinder isempty through visual inspection of the cylinder contents gauge or theflow control valve setting.
 36. The method of claim 31, furthercomprising delivering a replacement portable medical gas systemincluding cylinder filled with the gas to the customer.
 37. A method ofsupplying gas to a customer comprising the steps of: delivering aportable gas system, wherein the portable gas system includes a shippingcontainer containing a cylinder filled with gas, a flow control valveoperatively disposed on the cylinder, and a cylinder contents gauge, andwherein the flow control valve includes a setting adapted to establish apressure within the gas cylinder associated with a return shipment ofthe gas cylinder, the established pressure exceeding atmosphericpressure; providing instructions to the customer for the return shipmentof the portable gas system via a commercial carrier; and delivering areplacement portable gas system including a replacement cylinder filledwith gas to the customer upon return shipment of the portable gas systemor upon notification that the customer requires the replacement portablegas system.
 38. The method of claim 37, wherein the instructions furtherinclude information advising the customer to ensure the flow controlvalve is positioned at a setting adapted to empty the gas from thecylinder.